The influence of hospital volume on long-term oncological outcome after rectal cancer surgery

Purpose The association between hospital volume and outcome in rectal cancer surgery is still subject of debate. The purpose of this study was to assess the impact of hospital volume on outcomes of rectal cancer surgery in the Netherlands in 2011. Methods In this collaborative research with a cross-...

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Veröffentlicht in:	International journal of colorectal disease 2017-12, Vol.32 (12), p.1741-1747
Hauptverfasser:	Jonker, Frederik H. W., Hagemans, Jan A. W., Burger, Jacobus W. A., Verhoef, Cornelis, Borstlap, Wernard A. A., Tanis, Pieter J.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adjuvant treatment Aged Analysis Cancer Cancer patients Cancer surgery Care and treatment Chi-Square Distribution Colorectal cancer Cross-Sectional Studies Digestive System Surgical Procedures - adverse effects Digestive System Surgical Procedures - mortality Digestive System Surgical Procedures - trends Disease-Free Survival Female Gastroenterology Health aspects Health risk assessment Hepatology Hospital Mortality - trends Hospitals Hospitals, High-Volume - trends Hospitals, Low-Volume - trends Humans Internal Medicine Kaplan-Meier Estimate Laparoscopy Laparoscopy - adverse effects Laparoscopy - mortality Laparoscopy - trends Male Margins of Excision Medicine Medicine & Public Health Middle Aged Mortality Multivariate Analysis Neoadjuvant Therapy - trends Neoplasm Staging Neoplasm, Residual Netherlands Oncology, Experimental Original Article Process Assessment (Health Care) - trends Proctology Proportional Hazards Models Rectal Neoplasms - mortality Rectal Neoplasms - pathology Rectal Neoplasms - surgery Rectum Registries Risk Factors Surgery Surgical Stomas - adverse effects Surgical Stomas - trends Survival Time Factors Treatment Outcome
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Beschreibung
Zusammenfassung:	Purpose The association between hospital volume and outcome in rectal cancer surgery is still subject of debate. The purpose of this study was to assess the impact of hospital volume on outcomes of rectal cancer surgery in the Netherlands in 2011. Methods In this collaborative research with a cross-sectional study design, patients who underwent rectal cancer resection in 71 Dutch hospitals in 2011 were included. Annual hospital volume was stratified as low (
ISSN:	0179-1958 1432-1262
DOI:	10.1007/s00384-017-2889-2